Director of Billing & Collections - Pharma-Cruiting Life Sciences Executive Search

Position Description

Director of Billing & Collections

We are currently seeking a Director of Billing and Collections for our clinical laboratory client in the Greater New York area.

The incumbent will effectively lead billing, collection and accounts receivable management team in a growing environment. This position will require a full understanding of our client’s laboratory billing system and all aspects of laboratory revenue cycle management. The Director will manage the activities of the centralized billing staff through daily supervision while overseeing all Billing and Accounts Receivable functions.

Responsibilities:
• Direct Billing Management and staff to ensure that accurate submission of all claims and timely collections occurs in accordance with all third party contract terms including, Medicare, managed care, commercial insurance, and direct patient pay.
• Develop a Skilled Nursing Facility billing department.
• Establish and maintain all billing and financial data, including medical billing code tables, rate schedules and payer information.
• Analyze reimbursement from all sources, including carrier reimbursement exception reporting and follow up pending claims analysis and denials management.
• Assure maximization of cash collections through diligent and timely monitoring of all open accounts receivable balances.
• Maintain and enhance billing policies and procedures for each function in the revenue cycle process and ensure staff adherence to policies.
• Prepare detailed analyses and reports of billing and accounts receivable activity and results, including performance matrixes, bad debt expense and AR days outstanding.
• Manage for continues improvements within the revenue cycle process.
• Effectively interact with all laboratory departments including Sales, Operations and Technical Lab.
• Provides mentoring, coaching and performance reviews for direct reports.
• Manages all outreach billing operations, including hiring, orientation, training, development, coaching, corrective actions, and ongoing monitoring of all staff work-related activities.
• Ensures consistent quality of the billing services by distributing and assigning duties and responsibilities to employees, ensuring skill levels are appropriate to the assigned tasks, and monitoring the department’s productivity.
Requirements:

.Bachelor’s degree in accounting, business administration, healthcare administration/management or related field.
• A minimum of 5 years management experience as a Senior Billing Manager or Billing Director in a Clinical Laboratory
• Five years plus medical reimbursement experience, with progressive supervisory management in an automated billing environment.
• Well-versed with all federal, state and HIPPA privacy regulations with thorough knowledge of CPT and ICD-9 coding protocols and procedures.
• Knowledge of medical necessity rules and procedures impacting insurance reimbursement.
• Knowledge of New York and New Jersey laboratory billing regulations.
• Knowledge of Seacoast – SLAR billing systems a plus.
• Excellent communication skills.
• Excellent Microsoft Excel, Word skills
• Demonstrated strong organizational and leadership skills in a fast paced, growing environment. Detail oriented.
• Strong organizational skills and have demonstrated ability to effect positive change.
• Ability to maintain relationships with internal department heads and external vendors.


Please send resume and cover letter to Ruth Frazer – ruth@pharmacruiting.com

How to Apply

Application Instructions / Send a Resume